Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.28 / $855.80 / $1,275.31	Professional		$850.28	$855.80	$1,275.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.29 / $1,256.31 / $1,402.59	Professional		$1,026.29	$1,256.31	$1,402.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $845.47 / $1,275.31 / $1,511.65	Facility		$845.47	$1,275.31	$1,511.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.04 / $1,243.08 / $1,420.66	Professional		$1,172.04	$1,243.08	$1,420.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,011.08 / $1,272.00	Professional		$32.34	$1,011.08	$1,272.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,788.65 / $14,025.11 / $17,482.34	Facility		$9,788.65	$14,025.11	$17,482.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,125.30 / $1,125.30 / $1,372.84	Professional		$1,125.30	$1,125.30	$1,372.84
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.07 / $1,038.00 / $1,513.01	Professional		$769.07	$1,038.00	$1,513.01